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Chair: Joginder Madra

Scribe: Danny Wise




AbdulMalik Shakir Hi3 Solutions / Shakir Consulting
Chrissy Miner CDC/NCIRD/ISD
Cindy Bush CDC/NCHS
Craig Newman Altarum
Danny Wise Allscripts
Dave deRoode Lantana Consulting Group
Devann Kirkpatrick TN Dept of Health
Erin Holt Coyne Tn Dept of Health
Erin Roche Public Health Informatics Institute
Joginder Madra Madra Consulting Inc.
Laura Rappleye Altarum
Lura Daussat Public Health Informatics Institute
Melanie Epstein-Corbin CA Dept of Public Health
Nosipho Beaufort PHII
Sarah Gaunt


Discussion items





5 min.Welcome, agenda review, meeting minute approvalJoginder Madra
  • last week's meeting was cancelled due to no topics on the agenda
  • Jan. 2nd meeting minutes approved (motion: Craig, second: AbdulMalik) 12-0-0
  • Reminder - ballot comments are due Jan 27th
5 min.Vital Records Death Reporting HL7 v2.6 publication requestMead Walker
  • publication request approved, pending updating "Date of Request" to current date since it still showed Jan. 2nd when it was initially on the agenda (motion: Mead, second: Craig) 15-0-0
  • Craig is in the V2 Management Group, so Mead will pass off the request to him now
5 min.Updates for BSeR, VRDR FHIR IG, and VR DAM projectsAbdulMalik Shakir
  • BSeR publication request was approved by the PHWG on Jan. 2nd, will be presented to FHIR Management Group on Jan. 22nd
    • the PHWG approval was contingent on the resolution of some pre-publication comments from Craig and Lisa Nelson – those comments are being addressed and incorporated
  • VRDR FHIR IG will consider moving from FHIR STU3 to R4 in next version of the IG (STU1)
  • VR DAM – coordinating with Birth Defects FHIR IG project to harmonize updates
15 min.FHIR resource proposed changeCraig Newman
  • JIRA 25277 Proposal January 2020.pptx
  • within the Immunization, ImmunizationEvaluation, and ImmunizationRecommendation resources, the "doseNumber" and "seriesDoses" elements' data types had previously been changed in R4 from positiveInt to "[x]" (postitiveInt or string)
    • this was to accommodate that there may not always be numerical "dose order" indications – some immunizations are given as boosters or even annually outside of any series
  • new comment suggests that the purpose of these elements is to convey intent from / to a clinician and that no numerical calculations are actually performed on them, so they can be string-only data type
  • recommendation is to approve as "persuasive"
  • WG provided feedback that Craig will take back to the SMEs before any further approval motion:
    • dose "seriesDoses" really ever need to be a string?  would it ever convey anything other than a number (the denominator of "dose X out of Y")?
    • would any system try to numerically compare "doseNumber" to "seriesDoses" to determine series completion status?
10 min.Measures of Interoperability SuccessLaura Rappleye / Craig Newman
  • HIMSS has a blog post at – how can the success of interoperability be measured effectively?
  • the number of connections doesn't necessarily equate to "success"
  • it would be worthwhile to consider and provide input related to Public Health interoperability
  • thoughts presented:
    • does it meet the needs of the community?
    • does it result in cost reduction?
    • how can even those "measures" be objectively quantified and evaluated?
  • next steps – ponder, if anyone has good ideas to discuss with the WG, put it on the agenda for a future call

Action items